| NPI | 1871044552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61607904) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO CSW.09930868) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2025-01-15 |