| NPI | 1831428135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF 60295779) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000843) |
| 106H00000X Marriage & Family Therapist (Licence: MN 2448) | |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2020-02-21 |