| NPI | 1407980824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001085) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 7941) |
| 106H00000X Marriage & Family Therapist (Licence: CT 1085) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT4660) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 2449) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 2191) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-08-22 |