| NPI | 1851833297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60576422) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2023-05-16 |