| NPI | 1366950081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3627) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60686286) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |