| NPI | 1104451970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-43205) |
| 104100000X Social Worker (Licence: WA LMSW-30939) | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2023-04-02 |