| NPI | 1740636364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60188224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L13225) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-12-05 |