| NPI | 1881719649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC3302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00004982) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00001215) | |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT3013) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-09-11 |