| NPI | 1730464223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60236466) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA HP60222830) |
| 101YM0800X Counselor Mental Health (Licence: WA CL60177124) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2023-12-21 |