| NPI | 1063134260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61480022) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA SC61083586) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-03-28 |