| NPI | 1235564618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60584943) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60390603) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2021-03-25 |