| NPI | 1942618053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60852376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60481967) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2021-03-24 |