| NPI | 1740058262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 61523821) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205342) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-05-31 |