| NPI | 1245055987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SWIA.SC.61553585) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SWIA.SC.61553585) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-08-26 |