| NPI | 1023120912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00006256) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00004037) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |