| NPI | 1932461266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60423046) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60423046) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-05-23 |