| NPI | 1659883544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: WA SC60780528) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2020-10-12 |