| NPI | 1720423122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 511-124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 4238-123) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-01-15 |