NPI | 1568553840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000922) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000385) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |