| NPI | 1558049965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61623614) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2025-07-29 |