| NPI | 1215374301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60896608) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006060) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60803278) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2024-08-29 |