| NPI | 1952624942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00002676) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006138) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH00009947) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |