| NPI | 1114816675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SWIA.SC.70013087) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-07-01 |