| NPI | 1366124463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61452757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW09929294) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |