| NPI | 1427516509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61042012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 176140) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2024-01-03 |