| NPI | 1770355521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61500499) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014485) |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-12-13 |