| NPI | 1932730017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 61022477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61022475) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-12-07 |