| NPI | 1285495275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61475209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27182) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-08-23 |