| NPI | 1245995505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61655747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61093860) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2025-07-11 |