| NPI | 1598231235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60815525) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 78474) |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2020-02-11 |