| NPI | 1770096885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60623071) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |