| NPI | 1912472291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LF60824948) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LH60663955) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |