| NPI | 1477931665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11623) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG.60565398) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2021-08-05 |