| NPI | 1740734177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61338428) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60187039) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2025-03-25 |