| NPI | 1225703234 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC70001165) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61133928) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-06-26 |