| NPI | 1417215682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LH00006934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006934) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-08-07 |