| NPI | 1700846128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60680811) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2023-02-01 |