| NPI | 1942722848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A4149) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7678) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60894558) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-09-15 |