| NPI | 1477274819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 003044) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2669) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-03-30 |