| NPI | 1003246760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC 60391911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60462200) |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2022-01-03 |