| NPI | 1245676600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60421993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3109) |
| 101YP2500X Counselor, Professional (Licence: VA 0701002674) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000569) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-11-21 |