| NPI | 1457587966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000833) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME MF3258) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-04-29 |