| NPI | 1578774352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46967) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF 60111294) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-09-21 |