| NPI | 1609028588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60342388) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00051889) |
| 101YM0800X Counselor Mental Health (Licence: WA SC60147844) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2022-07-14 |