| NPI | 1700544657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60329296) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60522277) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |