| NPI | 1619443603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC61285982) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61285982) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-07-29 |