| NPI | 1316586035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60801028) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2018044391) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2021-09-30 |