| NPI | 1174802524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60185668) |
| 103TC1900X Psychologist, Counseling (Licence: WA LW 60185668) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2019-10-31 |