| NPI | 1205163193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60838119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00054513) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2023-04-14 |