| NPI | 1124422241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006546) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |