| NPI | 1720609118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 2671) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2021-09-09 |