| NPI | 1609028471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60218786) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60128136) |
| 101Y00000X Counselor (Licence: WA CO60114998) | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2011-07-12 |