| NPI | 1104477033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 002111) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002049) |
| 106H00000X Marriage & Family Therapist (Licence: NY 002230-01) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 0002467) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 141182) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2024-12-09 |