| NPI | 1336201730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60073152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00042775) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-05-24 |