| NPI | 1720106263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001165) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00005157) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-08-28 |