| NPI | 1043875958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 61494164) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2024-09-09 |