| NPI | 1619656675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61330436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT137857) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |