| NPI | 1376702894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00008644) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00009344) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |