| NPI | 1033688478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 2053-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 171430) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2023-06-21 |