| NPI | 1205613221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61475876) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61475876) |
| 104100000X Social Worker (Licence: WA SC61475876) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-03-27 |