| NPI | 1871614610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MFT.LF.00002634) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDP.CP.60187497) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-02-20 |