| NPI | 1770019929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60711195) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2022-07-06 |