| NPI | 1962866897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4359) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61478770) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-09-30 |