| NPI | 1083881775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60507972) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60279602) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2022-10-03 |