| NPI | 1336891993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61076097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 13091) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |