| NPI | 1790343549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13821) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60922704) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |