| NPI | 1669970109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60845279) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60893904) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2019-11-08 |