| NPI | 1164772729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60507341) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60297962) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2018-12-12 |