| NPI | 1740593169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60294866) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LH60447408) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2023-03-07 |