| NPI | 1396880696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005088 LMHC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001280 LMFT) |
| 163W00000X Registered Nurse (Licence: WA RN00075016) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |