| NPI | 1760618847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61581379) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011102) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2025-01-29 |