| NPI | 1063720191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60626355) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW105689) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2022-09-21 |