| NPI | 1134719123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61246598) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG61128094) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-08-22 |