| NPI | 1710461355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61004215) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60800709) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-09-13 |