| NPI | 1396223855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61128705) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MG60869826) |
| 106H00000X Marriage & Family Therapist (Licence: WA MG60859826) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-04-19 |