| NPI | 1174282453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3576) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 18036417) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2025-08-22 |