| NPI | 1164290037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC70047963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC70047963) |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2026-03-15 |