| NPI | 1073285946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R7822) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61200403) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-12-09 |