| NPI | 1801256979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1216) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000908) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2021-08-06 |