| NPI | 1831512268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60607282) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2014-017A) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2022-12-13 |