| NPI | 1881747103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61099329) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00050256) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-07-15 |