| NPI | 1295108504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1102-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001023) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001994A) | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2018-02-02 |