| NPI | 1588049027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1230124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82423) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2021-12-07 |