| NPI | 1053646703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF 60357013) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC 00058548) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2018-03-17 |