| NPI | 1588078521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW6093774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 3788) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-10-07 |