| NPI | 1578942678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60494905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60494905) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-12-29 |