| NPI | 1225234412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011180) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89375) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-11-22 |