| NPI | 1104001528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0931) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: WA LF60465103) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2014-06-17 |