| NPI | 1710423108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1202-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 568-228) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2018-10-02 |