| NPI | 1720635360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61469807) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60980818) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2025-09-14 |