| NPI | 1952996217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61264147) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61185877) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61264147) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-05-12 |