| NPI | 1265178610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61376538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC70010410) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2026-03-12 |