| NPI | 1386195139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7991) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60630652) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61371985) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2023-07-25 |