| NPI | 1982018453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60481110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 12803) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-08-25 |