| NPI | 1871773655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60174188) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00052697) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2021-05-18 |