| NPI | 1174346589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60857469) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-09-23 |