| NPI | 1154160158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61663578) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA AMF000003) |
| 106H00000X Marriage & Family Therapist (Licence: TX 205517) | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2025-02-27 |