| NPI | 1013429091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MG60803034) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA Mg60803034) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2020-01-29 |