| NPI | 1255806121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61156351) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203321) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-07-01 |