| NPI | 1033697297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: WA 61653967) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2025-10-02 |