| NPI | 1770081713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60737398) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-09-12 |