| NPI | 1669612792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60876455) |
| 106H00000X Marriage & Family Therapist (Licence: OR T0884) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2023-10-24 |