| NPI | 1225267032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60166679) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60020358) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2012-10-23 |