| NPI | 1063930691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1155-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2809) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-04 |