| NPI | 1427303502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001678) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 46.002216) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2021-08-19 |