| NPI | 1356545602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0843) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00002249) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2013-04-16 |