| NPI | 1821463670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61111722) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1865) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2023-11-29 |