| NPI | 1457478968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001652) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61507765) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-11-04 |