| NPI | 1235857368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61369932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19964) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-12-16 |