| NPI | 1811342504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60924495) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LH60924495) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2026-07-30 |