| NPI | 1336305358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60784965) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90760) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2021-05-18 |