| NPI | 1609421957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 61074472) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202427) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2022-03-30 |