| NPI | 1790945194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW 60225676) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: WA RC60017858) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2018-04-04 |