| NPI | 1477750404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CT LMFT - 000492) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT LPC - 000800) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |