| NPI | 1063902989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2677) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-03-31 |