| NPI | 1346727484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R6757) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG60855229) |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2021-07-06 |