| NPI | 1821436858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00006125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW 00006125) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-03-15 |