| NPI | 1053593285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60934869) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00052480) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2024-10-03 |