| NPI | 1952579278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004855) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001392) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |