| NPI | 1184050957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-33053) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61051416) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2023-12-21 |