| NPI | 1043721459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61058584) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60767141) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-11-18 |