| NPI | 1770302325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61666445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 114538) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-11-22 |