| NPI | 1184045858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61055538) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60646397) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60646397) | |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2024-03-27 |