| NPI | 1295567105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA sc61688419) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61599156) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: WA sc61688419) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-07-10 |