| NPI | 1477082626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61254381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09926943) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-04-13 |