| NPI | 1609134295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60275945) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA MH1103MF) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |