| NPI | 1114206117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60608697) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86685) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2023-10-07 |