| NPI | 1548087190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61632016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 114266) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-12-10 |