| NPI | 1811241391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001677) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001602) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2022-05-03 |