| NPI | 1972349454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: WA 83340) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-16 |