| NPI | 1679939920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60615744) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60824262) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2022-11-29 |