| NPI | 1376076000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60888542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC 60726293) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60888542) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2022-09-09 |