| NPI | 1336406602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61363284) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60510696) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60510696) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-10-13 |