| NPI | 1639701063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60941478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7953) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2021-11-16 |