| NPI | 1811293533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60169180) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MG60169180) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |