| NPI | 1568612372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT #001720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT-771) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2016-04-19 |