| NPI | 1316967540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW00006604) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00006604) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-11-12 |