| NPI | 1235569294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 002846) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001255) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.000852) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2022-07-26 |