| NPI | 1053566612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 00006448) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF 00001700) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2014-07-24 |