| NPI | 1821007063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001926) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC20854) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-08-07 |