| NPI | 1649798604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LW61054459) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SC60733969) |
| 1041C0700X Social Worker Clinical (Licence: WA LW61054459) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2024-02-27 |