| NPI | 1538564356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR l2557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA lw61141607) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-09-29 |