| NPI | 1669539441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 602540463) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 602540463) |
| 106H00000X Marriage & Family Therapist (Licence: WA 602540463) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-08-05 |