| NPI | 1912745431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 134936-121) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 134936-121) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |