| NPI | 1841506607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60240317) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60149257) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2013-04-10 |