NPI | 1093035040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4093) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1225-124) |
Enumeration Date | 2010-06-01 |
Last Update Date | 2021-11-02 |