| NPI | 1003220658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60457060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60338605) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |