| NPI | 1790970457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60618408) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00057854) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2021-12-11 |