| NPI | 1639503915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60577416) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60314037) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2016-08-11 |