| NPI | 1730911421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61327141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61327141) |
| 1041S0200X Social Worker, School (Licence: WA SC61327141) | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |