| NPI | 1548676547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60706363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60594466) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-02-08 |