| NPI | 1487077236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60563533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60402161) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2020-12-15 |