| NPI | 1013972397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00003515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00000967) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |