| NPI | 1164999587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61209043) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60962028) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-01-21 |