| NPI | 1467575878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60521584) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC39288) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-05-31 |