| NPI | 1093954349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61495439) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60038576) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2024-09-05 |