| NPI | 1982937348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60231336) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-25735) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW31144) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2021-12-29 |