| NPI | 1255155917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.70047008) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61626861) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-10-14 |