NPI | 1154597771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 907) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: WI L635000118158) |
101YP2500X Counselor, Professional (Licence: WI 1627125) | |
Enumeration Date | 2008-05-04 |
Last Update Date | 2025-09-27 |