| NPI | 1669917712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61260803) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1627-11) |
| 106H00000X Marriage & Family Therapist (Licence: HI 389) | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2022-03-10 |