| NPI | 1235677600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1114) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00002382) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-03-22 |