| NPI | 1275006546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61561861) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-09-26 |