| NPI | 1821460429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1381-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 4625) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2026-03-23 |