| NPI | 1649454190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LF60517890) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2021-07-29 |