| NPI | 1114645645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SC61563487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61563487) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-08-05 |