| NPI | 1396472304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61441974) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L10836) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-11-04 |