| NPI | 1245601640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LMSW 35213) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60756938) |
| 104100000X Social Worker (Licence: ID LMSW-35213) | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2021-04-14 |