| NPI | 1982135059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61626650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55289) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-01-14 |