| NPI | 1972154383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61375189) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-06-08 |