| NPI | 1225619778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC70074609) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61169626) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC70074609) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2026-03-17 |