| NPI | 1114467271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC 60634203) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC 60634203) |
| 251S00000X Community/Behavioral Health (Licence: WA SC 60634203) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |