| NPI | 1689143471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60967687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60621334) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2024-05-14 |