| NPI | 1033846944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 3181) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-09-19 |