| NPI | 1659063964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-5160) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L5509) |
| 1041C0700X Social Worker Clinical (Licence: WA LW61500844) | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-09-04 |