| NPI | 1306459078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R7045) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 61201546) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-12-06 |