| NPI | 1962164665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61109889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LW61109889) |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2021-10-10 |