| NPI | 1184780983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004596) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00004596) |
| 101Y00000X Counselor (Licence: WA LW00004596) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-04-10 |