| NPI | 1457969602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61215793) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2021-10-26 |