| NPI | 1477604056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00021305) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00000130) |
| 106H00000X Marriage & Family Therapist (Licence: WA lf00002627) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-11-22 |