| NPI | 1023581477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1375) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 670-228) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-04-30 |