| NPI | 1275670002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH00005835) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001004) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |