| NPI | 1043765399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60907034) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60775148) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2019-03-13 |