| NPI | 1215406681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA 61137634) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60861216) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2021-06-11 |