| NPI | 1457946196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61165345) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60754947) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-11-06 |