| NPI | 1205518172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR A12545) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SC61504525) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-08-06 |