| NPI | 1053458687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 177) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1414) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-01-05 |