| NPI | 1770950735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60893135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60499183) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2019-02-15 |