| NPI | 1225255326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH00011129) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA RC00021191) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-07-21 |