| NPI | 1477284099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1045-228) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-08-30 |