| NPI | 1811015894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00056109) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52484) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-08-18 |