| NPI | 1669759155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61054557) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2021-09-01 |