| NPI | 1770215303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23330) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61332045) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-12-06 |