| NPI | 1992096713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60393657) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1982) |
| 101YM0800X Counselor Mental Health (Licence: WA LF60393657) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2015-01-29 |