| NPI | 1821720699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61211051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW7359T) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-08-03 |