| NPI | 1376889709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 984-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007303) |
| 106H00000X Marriage & Family Therapist (Licence: PA MF001486) | |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2024-03-15 |