| NPI | 1780989434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 00006244) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2023-03-21 |