| NPI | 1972346831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61527312) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2489) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |