| NPI | 1386618254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61162074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 1443-c) |
| 101Y00000X Counselor (Licence: WA SC60910701) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-06-11 |