| NPI | 1306991559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60408899) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00054154) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-04-12 |