| NPI | 1952099319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61589378) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 133049) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-01-22 |