| NPI | 1417668914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61525946) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61386917) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-07-05 |