| NPI | 1386044667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60737678) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60648848) |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2017-04-07 |