| 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 |