| NPI | 1467891754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG 60357819) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-05-04 |