| NPI | 1649672635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60688752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 1154302586) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-05-15 |