| NPI | 1861826497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A3710) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60407842) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2017-02-27 |