| NPI | 1306314232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.61614753) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-10-10 |