| NPI | 1548986805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61500440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61037719) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-04-10 |