| NPI | 1477321362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 70009391) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-9291) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2026-08-12 |