| NPI | 1083006399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61640278) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132125) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2024-12-30 |