| NPI | 1235699786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61615684) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-12-13 |