| NPI | 1770140980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60354376) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60354376) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2021-10-04 |