| NPI | 1780310888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT3612) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG61477782) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-10-06 |