| NPI | 1801621057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61578295) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG61579154) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2025-03-21 |