| NPI | 1427599786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5906-125) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1035-124) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2017-03-19 |