| NPI | 1770063646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61396047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61164216) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2025-01-23 |