| NPI | 1972817864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61028551) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2020-11-16 |