| NPI | 1275714248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60841212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00046461) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2020-04-13 |