| NPI | 1104664762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA MC61566856) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-01-02 |