| NPI | 1174174353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61249054) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61269944) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2022-07-22 |