| NPI | 1891213674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A5082) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA CG60628381) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-03-18 |