| NPI | 1801013578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH3000006600) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00000470) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |