| NPI | 1356912299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61213756) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61196723) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2022-03-01 |