| NPI | 1780135590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60802499) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60697237) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019215) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2021-04-09 |