| NPI | 1376983619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO mft.0001165) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF 00002690) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2014-12-03 |