| NPI | 1093552234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61453039) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61488165) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |