| NPI | 1376680900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60348550) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60695380) |
| 103TF0000X Psychologist, Family (Licence: CA IMF 51863) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA NA60869216) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-08-12 |