| NPI | 1326253691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60468965) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 8098) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-02-12 |