| NPI | 1205202421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9433345-3501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60875446) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2026-03-26 |