| NPI | 1457790750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC SW.18040CP) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61470965) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2025-07-15 |