| NPI | 1992852495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0397) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001938) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |