| NPI | 1700241726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60609900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60609900) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2020-10-18 |