| NPI | 1508305624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2231) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2019-10-10 |