| NPI | 1760530471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60434272) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 677) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-04-23 |