| NPI | 1962061218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1376-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1376124) |
| 106H00000X Marriage & Family Therapist (Licence: WI 689-228) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2025-09-02 |