| NPI | 1013255074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW05711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60687765) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019081) | |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2022-03-17 |