| NPI | 1376909622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60644968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60601340) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2022-03-11 |