| NPI | 1376990770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L8515) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60659260) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-04-28 |