| NPI | 1942831524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61162572) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61136818) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2021-10-04 |