| NPI | 1124824057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC61647910) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC1647910) |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-04-09 |