| NPI | 1457838989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60472487) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: WA MG60472487) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-03-20 |