| NPI | 1699312116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61021135) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: WA SC61021135) | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-05-08 |