| NPI | 1871995548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61125490) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60918731) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61125490) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2025-07-21 |