| NPI | 1700132040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60632469) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 17957) |
| 101Y00000X Counselor (Licence: WA CG60564710) | |
| 101YM0800X Counselor, Mental Health (Licence: MD 17957) | |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60564710) | |
| 101YP2500X Counselor, Professional (Licence: MD 17957) | |
| 104100000X Social Worker (Licence: MD 17957) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-04-30 |