| NPI | 1760940928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61303721) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61024752) |
| 106H00000X Marriage & Family Therapist (Licence: WA 61045464) | |
| 106H00000X Marriage & Family Therapist (Licence: WA MG61045464) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2023-03-20 |