| NPI | 1902312986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61033814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9480092-3501) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2024-04-09 |