| NPI | 1902215841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1236-124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 388-228) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2025-01-03 |