| NPI | 1356815062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60930367) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-02-13 |