| NPI | 1780804823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00004252) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001144) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |