| NPI | 1760241749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61661098) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT145642) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2025-03-13 |