| NPI | 1831660851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1392-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 721-228) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-09-24 |