| NPI | 1053653725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60460104) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60343193) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-12-08 |