| NPI | 1225001738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00028145) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: WA 9630) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-09-11 |