| NPI | 1497222384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60930570) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60737629) |
| 101Y00000X Counselor (Licence: WA SC60737629) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2025-11-05 |