| NPI | 1558561829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00007683) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00007683) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2018-11-06 |