NPI | 1285721936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000778LMFT) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CT LADC000557) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2019-02-08 |