| NPI | 1013361732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L9520) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60959761) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2023-11-10 |