| NPI | 1669960936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1263-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 621-228) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-09-11 |