| NPI | 1104367259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG 60736326) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 10964798-3904) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2018-10-09 |