| NPI | 1245635614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60520041) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1049) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2020-01-07 |