| NPI | 1730561333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7483-125) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI QTT) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-12-14 |