| NPI | 1134874399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61269939) |
| 104100000X Social Worker (Licence: WA SC61269939) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2025-04-17 |