| NPI | 1982622957 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60228675) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60228675) | 
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2023-01-23 |