| NPI | 1194496125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC CO15792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61457959) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-06-02 |