| NPI | 1750439881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1127) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA lf00001180) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-06-12 |