| NPI | 1053821298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61156485) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 60922243) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-06-05 |