| NPI | 1902939754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00005482) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006792) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-01-21 |