| NPI | 1184350514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61282466) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID 5971751) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-06-02 |