| NPI | 1538464656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60145854) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MG60145854) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |