NPI | 1467794529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1177-124) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-03-26 |
Last Update Date | 2019-08-12 |