| NPI | 1811566409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60877309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 8707-123) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2023-02-25 |