| NPI | 1518522929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61194201) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60952408) |
| 106H00000X Marriage & Family Therapist (Licence: WA MG60977083) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2023-02-10 |