| NPI | 1184767600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60853457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional (Licence: ID LPC-3236) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-05-03 |