NPI | 1154182640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61642112) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61216039) |
Enumeration Date | 2024-01-22 |
Last Update Date | 2025-05-02 |