| NPI | 1790467637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61604930) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CL61018917) |
| 104100000X Social Worker (Licence: WA SC61510171) | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-08-26 |