| NPI | 1750436143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LW00004680) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00004680) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: WA RN00045814) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-11-30 |