| NPI | 1164195889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 2087-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 796-228) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-07-11 |