| NPI | 1245985951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14923) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61160458) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-05-19 |