| NPI | 1962871681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60992901) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL TPSW274) |
| 104100000X Social Worker (Licence: MD 30808) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-10-17 |