| NPI | 1124475918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW61525514) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2024-09-10 |