| NPI | 1134339245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-35) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00009327) |
| 101YM0800X Counselor Mental Health (Licence: ID LCPC-399) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF-00002624) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-09-18 |