| NPI | 1053862482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH 60695934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: WA PCC13552) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-03-09 |