| NPI | 1194447854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61393941) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: ID LMSW-42589) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-09-18 |