| NPI | 1669239687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CL61526239) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61572275) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-12-04 |