| NPI | 1386073476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 00006597) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 1859) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |