| NPI | 1164953105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW42346) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61284003) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-01-25 |