| NPI | 1205978400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60010646) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00055113) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-09-16 |