| NPI | 1194616128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 61601143) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 61601143) |
| 101YP2500X Counselor, Professional (Licence: WA 61601143) | |
| 1041C0700X Social Worker, Clinical (Licence: WA 61601143) | |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2026-08-21 |