| NPI | 1780928234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61027323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60324572) |
| 1041C0700X Social Worker, Clinical (Licence: ID LMSW32945) | |
| Enumeration Date | 2012-11-22 |
| Last Update Date | 2022-10-18 |