| NPI | 1770114605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61567663) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60883467) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2024-11-07 |