| NPI | 1609338557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61096350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60952151) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2021-03-22 |