| NPI | 1013421809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61312311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61312311) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2025-10-03 |