| NPI | 1528423811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.60603741) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-05-06 |