| NPI | 1376853762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61072662) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SC60863365) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2020-07-31 |