| NPI | 1922680248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1389-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 680-228) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-08-20 |