| NPI | 1396509006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3682) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00311) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-09-22 |