| NPI | 1396355749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61675237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96057) |
| 101Y00000X Counselor (Licence: WA SA61539111) | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health (Licence: 96057) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-10-20 |