| NPI | 1689704520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00008224) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00051897) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-09-22 |