| NPI | 1144836123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61494712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW14964) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-03-13 |