| NPI | 1265679872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60306490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 25104) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2025-06-23 |