| NPI | 1902401417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61503840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020158) |
| 106H00000X Marriage & Family Therapist (Licence: CA 86181) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-03-22 |