| NPI | 1275913915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60655960) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60534509) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60534544) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2016-09-14 |