| NPI | 1457230997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.70140096) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG.70044444) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2026-08-20 |