| NPI | 1669699377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 174400000X Specialist (Licence: CT 2476) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-10-28 |