| NPI | 1912394404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60857196) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60857196) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-837) | |
| 101YP2500X Counselor, Professional (Licence: OR C5880) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61023668) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-11-03 |