| NPI | 1689924607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: WA PT00003517) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2016-05-06 |