| NPI | 1558096859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3072) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0135210) |
| 106H00000X Marriage & Family Therapist (Licence: VT 097.0135210) | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2023-07-17 |