| NPI | 1619054640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001911) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00052908) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-10-28 |