| NPI | 1184789257 |
|---|---|
| Former Name | SALLY T MCINTOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LF0001895) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001895) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-07-13 |