| NPI | 1275993800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 097.0111123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NH 220) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-07-10 |