| NPI | 1740576743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60470722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60222139) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-08-17 |