| NPI | 1558611939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60278449) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH60014836) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2017-08-24 |