| NPI | 1689818148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 006417) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001309) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2016-03-07 |