| NPI | 1396326088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60848626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60848626) |
| 101YP2500X Counselor, Professional (Licence: WA LW60848626) | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-09-08 |