| NPI | 1972032449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61544692) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW61544692) |
| 101Y00000X Counselor (Licence: WA LW61544692) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-10-31 |