| NPI | 1215337183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60715479) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60715479) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2023-01-20 |