| NPI | 1821555111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61130025) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 60917788) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2022-10-30 |