| NPI | 1972375228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61484410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025709) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-10-12 |