| NPI | 1912476250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61059929) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60164516) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2022-09-08 |