| NPI | 1306083225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00010762) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00005916) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00002412) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |