| NPI | 1972795896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW60157679) |
| 101YM0800X Counselor, Mental Health (Licence: CO CSW.09928993) | |
| 171M00000X Case Manager/Care Coordinator (Licence: WA LW60157679) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60157679) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LW60157679) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2024-01-20 |