| NPI | 1366094690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006243) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60962981) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-07-12 |