| NPI | 1679155501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61523248) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61169567) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2025-01-25 |