| NPI | 1720637507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1403-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 5204) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2026-08-03 |