| NPI | 1568248763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61639934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03555) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2025-04-03 |