| NPI | 1568866911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10056) |
| 106H00000X Marriage & Family Therapist (Licence: NE 173) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 3454) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2024-01-25 |