| NPI | 1477951796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61481417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW5850) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2026-01-29 |