| NPI | 1619365897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG 60468464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60467885) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |