| NPI | 1659779395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LF60598935) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60167028) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-11-09 |