| NPI | 1154138022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 61632811) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 106466) |
| 1041C0700X Social Worker, Clinical (Licence: WA 61632811) | |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2025-02-19 |