| NPI | 1699121616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61073138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60820011) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-04-02 |