| NPI | 1235204256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000935) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1256) |
| 106H00000X Marriage & Family Therapist (Licence: ME MF3293) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-11-12 |