| NPI | 1831375138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60959009) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2175) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2021-08-17 |