| NPI | 1972142305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60795825) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1685) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |