| NPI | 1053144642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61591573) | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-03-21 |