| NPI | 1528265600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3202) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 1081) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-12-19 |