| NPI | 1265814768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001580) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60474816) |
| 106H00000X Marriage & Family Therapist (Licence: OR T1381) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF60801409) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-06-16 |