| NPI | 1194318915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 61124625) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 61124625) |
| 1041C0700X Social Worker, Clinical (Licence: WA 61124625) | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-10-08 |