| NPI | 1427265255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW00009171) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-09-30 |