| NPI | 1144587999 |
|---|---|
| Former Name | SONYA ROSE SEVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00006414) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001303) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |