| NPI | 1073705075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60185890) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA Lw60185890) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2025-05-02 |