| NPI | 1184192338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61035334) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60442300) |
| 101YM0800X Counselor, Mental Health (Licence: WA LW61035334) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2022-06-07 |