| NPI | 1235316647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-1003) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA RC00057875) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2025-08-18 |