| NPI | 1871381186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4744) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 2314-124) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-05-13 |