| NPI | 1336897891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61595965) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61262422) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-03-31 |