| NPI | 1760122816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61302179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60975625) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60975625) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2023-05-01 |