| NPI | 1740659853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60888459) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60888459) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2023-10-17 |