| NPI | 1982684304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004371) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW00004371) |
| 101YM0800X Counselor, Mental Health (Licence: IL 149.012346) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-07-10 |