| NPI | 1336256833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 662-124) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 77020-030) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-10-21 |