| NPI | 1871242131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T3176) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG61256747) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-08-04 |