| NPI | 1295458214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61665792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06250500) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-05-22 |