| NPI | 1215107594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60635032) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51333) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2019-04-02 |