| NPI | 1396151221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60941955) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2021-01-26 |