| NPI | 1245549591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61668445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0823921) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2025-07-24 |