| NPI | 1801143391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 374700000X Technician (Licence: WA HC60139962) |
| 374700000X Technician (Licence: WA HC60219682) | |
| 376K00000X Nurse's Aide (Licence: WA NC60124560) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |