| NPI | 1790991347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000421) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000290) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |