| NPI | 1891090114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10301) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60443027) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2023-01-11 |