| NPI | 1750252532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61689475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992862) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-16 |