| NPI | 1467915132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1347-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 666) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-12-13 |