| NPI | 1780355651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61648835) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123505) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-03-28 |