| NPI | 1407611171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61570975) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61528805) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-01-21 |