| NPI | 1336658012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61264301) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61264301) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60793988) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61105033) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-29 |