| NPI | 1831647338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1928) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1946) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-02-01 |