| NPI | 1447698931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1028) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 350228) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2015-10-02 |