| NPI | 1699957613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-5360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00056925) |
| 106H00000X Marriage & Family Therapist (Licence: MT SWP-LMFT-LIC-2226) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2013-11-26 |