| NPI | 1831890847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIASC61482282) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-21254) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-12-15 |