| NPI | 1417180068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001476) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001064-01) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2025-09-23 |