| NPI | 1174915151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA 4028798) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA 33780981) |
| 253J00000X Foster Care Agency (Licence: WA 4054878) | |
| 385H00000X Respite Care (Licence: WA 60167155) | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2017-01-14 |