| NPI | 1659039980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4742) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MFTA.MG.61230405) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-08-30 |