| NPI | 1740755032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60667025) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60666692) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |