| NPI | 1720692528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61403530) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 61141001) |
| 106H00000X Marriage & Family Therapist (Licence: CA 120257) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-07-22 |