| NPI | 1275787921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61503090) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701004341) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: VA 0701004341) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0701004341) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2023-05-23 |