| NPI | 1013484914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60529948) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA CG60529948) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-12-19 |