| NPI | 1437637923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 61087684) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2023-12-07 |