| NPI | 1598456154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61584102) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 11875) |
| 1041C0700X Social Worker, Clinical (Licence: TN 11875) | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2025-04-09 |