| NPI | 1255480794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60031215) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA RC00046524) |
| 104100000X Social Worker (Licence: WA LW60031215) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-04-12 |