| NPI | 1588714737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61566719) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1297) |
| 106H00000X Marriage & Family Therapist (Licence: SC 4516) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-09-22 |