| NPI | 1801331202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60448443) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 6755-c) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2021-11-04 |