| NPI | 1063510535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 000344) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001104) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-01-19 |