| NPI | 1275197139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1456) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 611-228) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-09-15 |