| NPI | 1235736406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 48309) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT 48309) |
| 1041C0700X Social Worker, Clinical (Licence: WA 61101564) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2022-05-05 |