| NPI | 1891456927 |
|---|---|
| Other Name | NONE NONE NONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61284755) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2022-10-06 |