| NPI | 1447415492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00055005) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00000883) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |