| NPI | 1194150722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60641907) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60393692) |
| 101Y00000X Counselor (Licence: WA MC 60393728) | |
| 101Y00000X Counselor (Licence: ID LPC-5353) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2018-03-17 |