| NPI | 1093099962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2447) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61117197) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2022-01-18 |