| NPI | 1275304818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00006554) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L7713) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |