| NPI | 1184002370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60901006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01335) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2020-01-13 |