| NPI | 1700212149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: WA 0064) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CL60397933) |
| 101YP1600X Counselor, Pastoral (Licence: FL 17377) | |
| 103T00000X Psychologist (Licence: WA CL60397933) | |
| 106H00000X Marriage & Family Therapist (Licence: FL 17377) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2018-11-23 |