| NPI | 1386788750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004874) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00000913) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2009-02-27 |