| NPI | 1619184256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00004636) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00004313) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00001332) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-12-19 |