| NPI | 1851720619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60649105) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60343990) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2021-11-15 |