| NPI | 1184749442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1048) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 60681561) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2026-02-04 |