| NPI | 1952646085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60521657) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA MC 60281317) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60492836) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2015-03-16 |