| NPI | 1851680391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60164788) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW 60164788) |
| 101YP2500X Counselor Professional (Licence: WA LW 60164788) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |