| NPI | 1275064479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61015870) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60680131) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-10-20 |