| NPI | 1306943089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00025786) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008397) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |