| NPI | 1588088421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SWI.LW60674069) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SWI.LW60674069) |
| 106H00000X Marriage & Family Therapist (Licence: WA SWI.LW60674069) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2025-07-29 |