| NPI | 1871966119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC61479456) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61479456) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2024-08-28 |