| NPI | 1275888943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-34797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61261680) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2023-07-10 |