| NPI | 1184929200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60164722) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60164722) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60345854) | |
| 104100000X Social Worker (Licence: WA LW60345854) | |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2013-09-18 |