| NPI | 1215953989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 005643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 003376) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-04-29 |