| NPI | 1063940575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61143651) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202951) |
| 106H00000X Marriage & Family Therapist (Licence: NM CMF0223361) | |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2022-12-06 |