| NPI | 1750702817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60508020) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013401) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2015-03-27 |