| NPI | 1366817561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LH60882019) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2024-11-01 |