| NPI | 1164714564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60221879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG60221879) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2024-02-16 |