NPI | 1306270756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 364-228) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5207-125) |
Enumeration Date | 2013-08-21 |
Last Update Date | 2024-06-24 |