| NPI | 1720552805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61146676) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110809) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2022-08-24 |