| NPI | 1245706944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MG60684512) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60684512) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-10-08 |