| NPI | 1750938254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61005910) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60702955) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-02-10 |