| NPI | 1083766059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00004720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00000885) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-01-04 |