| NPI | 1962077297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61117231) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61014767) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-04-09 |