| NPI | 1760857619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60888074) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60713467) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-09-18 |