| NPI | 1720535206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61462127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-19141) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-10-17 |