| NPI | 1073164596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61234748) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60493139) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2023-04-25 |