| NPI | 1477865855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF 60156713) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60160372) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-11-12 |