| NPI | 1164799854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001340) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT10077) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |