| NPI | 1649293416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0010107) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000607) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-06-15 |