| NPI | 1396377586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3725) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1482124) |
| 106H00000X Marriage & Family Therapist (Licence: ID 7851) | |
| 106H00000X Marriage & Family Therapist (Licence: WA 61396310) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2023-11-24 |