| NPI | 1366464349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-41432) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60123318) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60746127) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-07-20 |