| NPI | 1225256522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 29702) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA RC00055691) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-03-12 |