| NPI | 1124604764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61466078) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61040620) |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-05-01 |