| NPI | 1194129114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1941) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M. 1400001) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-05-15 |