| NPI | 1427529106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61062695) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60703780) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-08-10 |