| NPI | 1174078042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4442) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60673962) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-06-25 |