| NPI | 1730606989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61295865) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2025-05-05 |