| NPI | 1255348066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000486) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000432-1) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC15135) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |