| NPI | 1134516040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60336229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW 60336229) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-02-02 |