| NPI | 1932609914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC60943763) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-06-03 |