| NPI | 1215092937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00027939) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY00002069) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |