| 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 |