| NPI | 1306299326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61296741) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60726290) |
| 104100000X Social Worker (Licence: WA CG60183725) | |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60726290) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-08-03 |