| NPI | 1356680235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60539019) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53396) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2015-12-15 |