| NPI | 1205378205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60992556) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60730222) |
| 104100000X Social Worker (Licence: ID LMSW-36043) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2019-12-11 |