| NPI | 1083223788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61618412) |
| 104100000X Social Worker | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-03-01 |