| NPI | 1205496767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61054675) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MFTA.MG.60822539) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-09-22 |