| NPI | 1528535473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA SC60658949) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: WA SC60658949) | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |