| NPI | 1346320207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LW00004261) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW00004261) |
| 1041C0700X Social Worker Clinical (Licence: WA LW00004261) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |