| NPI | 1477982601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60883211) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60419705) |
| 1041C0700X Social Worker, Clinical (Licence: WA 60613841) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2021-06-05 |