| NPI | 1144708272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MG60983185) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61262373) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-12-29 |