| NPI | 1245435320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60312576) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73704) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-05-06 |