| NPI | 1598483174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA sc61009533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA sc61009533) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-19 |