| NPI | 1356382683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00053006) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-01-27 |