| NPI | 1780028365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11256) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L15357) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61567196) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2025-06-02 |