| NPI | 1356739817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW0831362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60530604) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2025-04-30 |