| NPI | 1043847858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SWI.LW.61148031) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-38671) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2021-08-20 |