| NPI | 1922415199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60746472) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60884943) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2020-06-29 |