| NPI | 1134934086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 125804) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MFTA.MG.61671953) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-05-15 |