| NPI | 1043741218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61264401) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG 60547312) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-04-03 |