| NPI | 1376905315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1706) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60306395) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-08-11 |