| NPI | 1962816280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60395446) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW 60395446) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2022-08-19 |