| NPI | 1306070081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00059415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00059415) |
| 106H00000X Marriage & Family Therapist (Licence: WA RC00059415) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |