| NPI | 1205280401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5350) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60904034) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2026-04-10 |