| NPI | 1780907071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60144392) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RC00035286) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60104853) | |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2012-06-04 |