| NPI | 1164962361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60904767) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60585850) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-01-17 |