| NPI | 1093890519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60145783) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00045050) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-11-06 |