| NPI | 1356415418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00055312) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW15775) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW00009280) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |