| NPI | 1265958540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC60868840) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: WA SC60868840) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-04-13 |