| NPI | 1790380335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 66950781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW66950781) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-08-02 |