| NPI | 1568765170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60975646) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 560) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2019-09-24 |