| NPI | 1083393276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.61444398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61452572) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-05-03 |