| NPI | 1205502473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R6968) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG61160904) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |