| NPI | 1093737116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 110084) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-09-24 |