| NPI | 1699486597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC70014513) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC70014513) |
| 101Y00000X Counselor (Licence: WA 61385999) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-12-01 |