| NPI | 1942073044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.70047883) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SWIA.SC.70047883) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-12-09 |