| NPI | 1346745635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1334-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 631-228) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2020-09-18 |