| NPI | 1932542065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60509442) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60280222) |
| 101YM0800X Counselor Mental Health (Licence: WA CG60280222) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-01-10 |