| NPI | 1790436020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61550341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 5771688) |
| 1041C0700X Social Worker, Clinical (Licence: TX 118403) | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2026-06-12 |