| NPI | 1760068894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61366086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927266) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2022-12-30 |