| NPI | 1023538550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MFT.LF.61039596) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T3618) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2026-04-02 |