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