| NPI | 1376993352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 267) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 218414439) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-10-07 |