| NPI | 1356886188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60773100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MG60719676) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-09-12 |