| NPI | 1841825023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61206517) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222188) |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2026-03-18 |