| NPI | 1578741625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: WA RE00000166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00018773) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |