| NPI | 1952790537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60946665) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60464130) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2020-03-31 |