| NPI | 1245775279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1157) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 480-228) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2021-12-08 |