| NPI | 1144656034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60895361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-11694) |
| 104100000X Social Worker | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2024-11-14 |