| NPI | 1992207484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61110629) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61110629) |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.61561102) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2026-02-24 |