| NPI | 1376965475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60459562) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60421185) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-11-20 |