| NPI | 1275130320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 2968) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2478) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-02-15 |