| NPI | 1558727370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1439) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61139306) | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2023-08-02 |