| NPI | 1770202061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 2771) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001915) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |