| NPI | 1780748103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00010331) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00000975) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-12-16 |