| NPI | 1437746930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60944792) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW60944792) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-03-18 |