| NPI | 1720767296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61407361) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID LCSW-43854) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-09-25 |