| NPI | 1578082293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MG60803730) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA F636-4319-3716-06) |
| 106H00000X Marriage & Family Therapist (Licence: WA MG60803730) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-02-19 |