| NPI | 1295864650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF 60159362) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43585) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2011-02-04 |