| NPI | 1164028221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61342594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61342594) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2025-04-24 |