| NPI | 1114229457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60440331) |
| 106H00000X Marriage & Family Therapist (Licence: CA 53762) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2019-02-04 |