| NPI | 1093467722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MFT.LF.70013886) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002657) |
| 106H00000X Marriage & Family Therapist (Licence: NC 00471) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2026-06-01 |