| NPI | 1720758535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC61188432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61188432) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-07-29 |