| NPI | 1801654058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R11588) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MFTA.MG.70029753) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2026-02-03 |