| NPI | 1780965541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1141-124) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2024-03-25 |