| NPI | 1932620549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61093989) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60745909) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-04-07 |