| NPI | 1346766714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA 61231113) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 121552) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2024-06-17 |