| NPI | 1932813722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61548030) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P018668) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-07-18 |