| NPI | 1609181312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001101) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000769-1) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |