NPI | 1780310888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61649557) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT3612) |
106H00000X Marriage & Family Therapist (Licence: WA MG61477782) | |
Enumeration Date | 2022-07-29 |
Last Update Date | 2025-04-15 |