| NPI | 1447994660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 003486) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2759) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-03-18 |