| NPI | 1316292238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60524033) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 2012-019) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-07-28 |