| NPI | 1508524208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LH61538461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61538461) |
| 101Y00000X Counselor (Licence: WA CG61212021) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-09-11 |