| NPI | 1386476851 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC70022116) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61597476) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2025-09-13 |