| NPI | 1548804297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61539904) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2024-09-05 |