| NPI | 1164164943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R8410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61470069) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-12-19 |