| NPI | 1205014891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005575) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00005523) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2014-11-17 |