| NPI | 1861861106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61445438) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60602751) |
| 106H00000X Marriage & Family Therapist (Licence: WA MG61198470) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2025-08-27 |