| NPI | 1831336551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60288938) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 007206) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2021-06-18 |