| NPI | 1902086697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00056490) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: WA 419417A) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |