| NPI | 1700635737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61667752) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-09-26 |