| NPI | 1336407618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61534265) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA60190791) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2024-05-29 |