| NPI | 1023413739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 2815) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002617) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2024-08-13 |