| NPI | 1518165695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-28136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00009445) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-08-07 |